CT Cases 5 – Nasal CT cases

Advanced imaging has the ability to give clients and clinicians a much better idea of what is going on without the need for invasive investigation. Even in cases with a poor outlook getting a diagnosis can help inform potential treatment or just help owners come to terms with a poor prognosis. The cases below have all been seen here and been reported by VetCT.
 

Ct Cases 5

Case 1– Nasal Foreign Body
Signalment: 10 yo, female neutered English Setter

History: Sneezing, reverse sneezing and stertor of 10 days duration

Differential diagnosis: nasal foreign body, neoplasia, infectious, inflammatory

Question for CT: Is there a nasal foreign body or mass?

Area scanned: Head

VetCT diagnosis: Nasopharyngeal obstructive airway lesion, no contrast enhancement, so most likely a solid object.

Case outcome: Half a nutmeg removed on rhinoscopy.


Vet CT report - click here
Case 2– Chronic Rhinitis
Signalment: 13 yo, male neutered Domestic Shorthair

History: Sneezing and nasal discharge of 1 year duration, which has worsened over time.

Differential diagnosis: Neoplasia, infectious, inflammatory, chronic foreign body

Question for CT: What is the cause of sneezing and discharge?

Area scanned:  Head and thorax

VetCT diagnosis: Accumulation of soft tissue density/fluid material in nasal cavity without destruction of nasal bones. Deep culture of nasal tissue would be useful.

Vet CT report - click here
Case 3– Nasal Aspergillus
Signalment: 11 yo, male neutered Border Collie

History: 4 month duration of reverse sneezing, followed by 10 day duration of left haemorrhagic nasal discharge

Differential diagnosis:  Infectious, inflammatory, foreign body, neoplasia

Question for CT: Is there a nasal mass or evidence of aspergillus lesions? Are there lesions in the thorax?

Area scanned: Head and thorax

VetCT diagnosis:  Left intranasal extensive plaque-like soft tissue and turbinate loss, consistent with aspergillosis.

Vet CT report - click here
Case 4– Nasal Neoplasia
Signalment: 14 yo, female neutered Staffordshire Bull Terrier

History: 2 week history of right unilateral epistaxis

Differential diagnosis:  Neoplasia, foreign body, infectious, inflammatory

Question for CT: What is the cause of epistaxis?

Area scanned: Head

VetCT diagnosis: Right-sided nasal mass, mild lysis of the cribriform plate, neoplasia most likely (adenocarcinoma, carcinoma).

Vet CT report - click here

To see more case examples and to find out more about VetCT visit the website. To refer a patient for CT please use our online referral form. If you have any further questions or wish to discuss a potential case for CT call on 01626 367972.


Founded in 2009, VetCT provides specialist telemedicine services for veterinarians all over
the world. Expert reports for radiographs (X-rays), MRI and CT scans are delivered with a
guaranteed rapid turnaround time. VetCT also provides specialist telemedicine advice and
offers 3D printing for veterinary applications. The company operates from three bases: one
in the UK, one in the USA, and the other in Australia, to provide 24-hour continuous service
to their veterinary clients. The high quality reporting service coupled with the company’s
unique educational approach sets them apart from others in this field. Learn more at
VetCT.com